9 jobs found in Mcallen

Prominence Health, a value-based care organization, seeks a Coder of Risk Adjustment to perform accurate post‑review coding and documentation analysis onsite. You will support HEDIS data collection, prepare charts for health assessments, and guide coding and documentation requirements for providers. Based in McAllen, TX, this role requires knowledge of CMS HCC risk adjustment, careful chart review, and the ability to work independently while maintaining high accuracy and compliance with UHS #J-18808-Ljbffr

Location: McAllen, Texas, United StatesCompany: DHR HealthPosted: DHR Health in McAllen, TX is seeking a mid-level Medical Biller/Coder to assign and sequence ICD-10-CM, CPT/HCPCS codes, and apply billing modifiers. You will participate in staff meetings and contribute to ongoing coding education.Strong knowledge of medical terminology and CPT/NCCI guidelines is required, with experience using 3M encoder. Responsibilities include coding various outpatient services, querying physicians for clarifications, and maintaining high quality and productivity standards#J-18808-Ljbffr

Posted 4 days ago Description Summary: POSITION SUMMARY: Review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10-CM codes for billing, internal and external reporting, research, and regulatory compliance. Accurately code outpatient conditions and procedures as documented in the ICD-10-CM Official Guidelines for Coding and Reporting. Resolve error reports associated with billing process, identify and report error patterns, and, when necessary, assist in design and implementation of workflow changes to reduce billing errors. Assigns codes for diagnoses, treatments, and procedures according to the appropriate classification system for outpatient encounters. Reviews appropriate provider documentation to determine principal diagnosis, co-morbidities and complications, secondary conditions and surgical procedures. Utilizes technical coding principals and APC reimbursement expertise to assign appropriate ICD-10-CM diagnoses and...

Responsibilities Prominence Health is a value-based care organization bridging the gap between affiliated health systems and independent providers, building trust and collaboration between the two. Prominence Health creates value for populations and providers to strengthen integrated partnership, advance market opportunities, and improve outcomes for our patients and members. Founded in 1993, Prominence Health started as a health maintenance organization (HMO) and was acquired by a subsidiary of Universal Health Services, Inc. (UHS) in 2014. Prominence Health serves members, physicians, and health systems across Medicare, Medicare Advantage, Accountable Care Organizations, and commercial payer partnerships. Prominence Health is committed to transforming healthcare delivery by improving health outcomes while controlling costs and enhancing the patient experience. Learn more at: https://prominence-health.com/ Job Summary: The Coder of Risk Adjustment will be responsible...

Coder Lll - FT Days - CodingDHR Health - US:TX:McAllen - DaysSummary:POSITION SUMMARY:The Inpatient coder reviews and analyzes documentation in the medical record for inpatient visits to ensure accuracy of diagnosis and procedure codes. Coder finalizes the coding and abstracting of the medical record according to ICD-10-CM/PCS, CPT, and HCPCS coding conventions and guidelines supported by the clinical documentation in the medical record. Coder analyzes diagnosis and procedure codes concurrently assigned by Clinical Documentation Specialists. The Inpatient Coder assumes primary responsibility for DRG validation/accuracy, primary role in assisting CDS and medical staff members with improving quality of clinical documentation. Sequence the diagnoses and procedures using official coding guidelines. Abstract and compile data from medical records for appropriate optimal reimbursement for hospital and/or professional charges. Resolve Inpatient billing edits. Abide by the Standards of...

DHR Health in McAllen, TX is seeking a Coder I, Coding to assign ICD-10-CM codes for outpatient encounters and support billing, reporting, and regulatory compliance. You will work with AHIMA guidelines and 3M coding software to ensure accurate coding and timely processing. The ideal candidate has medical coding training or certification and solid knowledge of medical terminology, anatomy, and HIPAA. Strong research ability and independent judgment are valued. #J-18808-Ljbffr

DHR Health seeks a qualified Medical Coder to review clinical documentation and diagnostic results to assign accurate ICD-10-CM codes for outpatient encounters. You will ensure alignment with CPT and APC guidelines, attach accurate HCPCS modifiers, and resolve billing discrepancies while maintaining high accuracy and productivity. The role requires knowledge of medical terminology, HIPAA compliance, and experience with coding software (3M encoder preferred). #J-18808-Ljbffr

DHR Health in McAllen, TX seeks an experienced Medical Coder to assign ICD-10-CM diagnoses and CPT/HCPCS procedures for outpatient encounters. You will review provider documentation, ensure principal diagnoses and comorbidities are captured, and use 3M encoder and clinical guidelines to minimize errors. Proficiency with ICD-10-CM/PCS, CPT, and APC, plus HIPAA knowledge, is required. Strong research skills and independent judgment are essential for timely, compliant coding. #J-18808-Ljbffr

South Texas Health System seeks a clinical associate to perform retrospective payor reviews, utilize the current documentation system, and enter ICD/CPT and DRG codes when indicated to ensure accurate billing and compliant coding. Under the guidance of the Director, you may work weekends, holidays, evenings, nights, and on-call; you will maintain Service Excellence throughout all duties and demonstrate adherence to the Compliance Program. #J-18808-Ljbffr